Nisha Degidio, | |
30 Liberty Blvd Ste 140, Malvern, PA 19355-1466 | |
(484) 321-8660 | |
Not Available |
Full Name | Nisha Degidio |
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Gender | Female |
Speciality | Physical Therapist - Orthopedic |
Location | 30 Liberty Blvd Ste 140, Malvern, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1649882416 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2251X0800X | Physical Therapist - Orthopedic | PT028729 (Pennsylvania) | Primary |
Provider Name | Novacare Outpatient Rehabiliation East Inc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1487010583 PECOS PAC ID: 3678480290 Enrollment ID: O20140220000935 |
Provider Name | Precision Performance Physical Therapy |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1346886736 PECOS PAC ID: 7719311661 Enrollment ID: O20191231000027 |
Mailing Address | Practice Location Address |
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Nisha Degidio, 4714 Gettysburg Rd, Mechanicsburg, PA 17055-4325 Ph: () - | Nisha Degidio, 30 Liberty Blvd Ste 140, Malvern, PA 19355-1466 Ph: (484) 321-8660 |
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